引用本文:唐晓燕,甄 宏,韦玉华,郑丹丹.非营养性吸吮对新生儿医疗操作性疼痛的干预研究[J].中国临床新医学,2009,2(6):574-576.
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非营养性吸吮对新生儿医疗操作性疼痛的干预研究
唐晓燕,甄 宏,韦玉华,郑丹丹
530021 南宁,广西壮族自治区人民医院儿科
摘要:
[摘要] 目的 研究非营养性吸吮对新生儿疼痛的影响,探讨新生儿疼痛的护理干预方法。方法 入住新生儿重症监护病房胎龄33周以上的新生儿100例,随机分为非营养性吸吮干预组和对照组。均给予足跟采血的疼痛刺激。干预组在采血前及采血时给予非营养性吸吮,而对照组无此项干预。观察两组间在哭闹时间、新生儿疼痛评分和心率、血氧饱和度波动方面的差异。结果 非营养性吸吮干预组新生儿在足跟采血刺激后,与对照组相比,哭闹时间缩短(P < 0.01),新生儿疼痛评分降低(P < 0.01),心率和血氧饱和度变化减轻(P < 0.05)。结论 非营养性吸吮护理干预可以有效减轻新生儿对足跟采血操作的疼痛反应。
关键词:  非营养性吸吮  新生儿  医疗操作  疼痛反应
DOI:10.3969/j.issn.1674-3806.2009.06.11
分类号:R 743.72
基金项目:南宁市科学研究与技术开发计划项目课题(合同编号:2008021080)
Study about intervention effects of non-nutritive sucking on neonatal pain causing by invasive nursing procedures
TANG Xiao-yan, ZHEN Hong, WEI Yu-hua
Department of Pediatrics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To evaluate the analgesia effects of using non-nutritive sucking(NNS) method among neonatal infants,and investigate nursing intervention method.Methods One hundred neonatal infants in neonatal intensive unit (NICU), whose gestational age greater than 33W, were randomly divided into the control group and the NNS group, and all received pain stimulation of heel pinprick for blood.Besides, non-nutritive sucking was induced in the neonate of NNS group. The pain degree of the neonates were measured by duration of crying, neonatal infant pain scale (NIPS) at the points of 0.5, 1 and 5 minutes after stimulation, and the fluctuation of heart rate and oxygen saturation.Results There was significant difference between the 2 groups on the pain degree: NNS group had shorter duration of crying(P<0.01), lower NIPS points(P<0.01) and more small changes of heart rate and oxygen saturation(P<0.05) compared with control group. Conclusion Non-nutritive sucking nursing intervention can effectively reduce the neonatal pain response to heel pinprick operations.
Key words:  Non-nutritive sucking  Neonatal infants  Invasive nursing procedures  Pain